Organization Active NPI

Jackson Resource Center

  • Adult Day Care Clinic/Center
  • Jackson, MS
National Provider Identifier
1083510671
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
JACKSON RESOURCE CENTER
Practice address
1129 Langley Ave
Jackson, MS 39204-3115
Phone
(769) 218-0008
NPI assigned
Oct 19, 2026
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Putalamus White
Title
Executive Director
Phone
(601) 906-1591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

1129 Langley Ave
Jackson, MS 39204-3115

Mailing address

5261 Greenway Drive Ext
Jackson, MS 39204-3212
Phone (769) 218-0008

National Provider Directory

National Provider Directory

Locations

5261 Greenway Drive Ext
Jackson, MS 39204

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1083510671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5261 GREENWAY DRIVE EXT",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043212",
            "telephone_number": "769-218-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 LANGLEY AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043115",
            "telephone_number": "769-218-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "PUTALAMUS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-906-1591",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.